Complications More Likely With Emergency Gallbladder Surgery: Study07/03/13
WEDNESDAY, July 3 (HealthDay News) -- Emergency gallbladder
surgery carries a higher risk of complications than planned
surgery, a new study finds.
Researchers analyzed data from nearly 600 gallbladder surgeries
performed over eight months at a large hospital in a U.S. city, and
found that 22 patients had a total of 35 complications. Eighteen of
the patients had emergency surgery. More than 90 percent of the
night-time surgeries were emergency procedures.
Having surgery after 7 p.m. and being an older male were both
associated with an increased risk of complications.
The study was too small to generalize the findings or show a
cause-and-effect relationship. However, further research into the
issue is warranted, said lead investigator Dr. Uma Phatak, a
surgery resident at the University of Texas Health Science Center
at Houston (UTHealth).
The findings were presented at the recent annual meeting of the
Society for Surgery of the Alimentary Tract, in Orlando, Fla. The
data and conclusions should be viewed as preliminary until
published in a peer-reviewed journal.
Identifying at-risk patients sooner might be one way to reduce
gallbladder surgery complication rates. By the time some patients
undergo surgery, there is scarring on the gallbladder that can lead
to complications, Phatak said.
"It is hard to know if you have a serious gallbladder problem," study co-author Dr. Curtis Wray, an assistant professor of surgery, said in a UTHealth news release. "Repeated episodes of upper-right abdominal pain should prompt medical attention. Ignoring these warning signs may lead to a more difficult operation in the future."
Many gallbladder problems are caused by gallstones, which can
temporarily block the ducts that drain the gallbladder and the
Symptoms of gallbladder problems include nausea, vomiting and
pain in the upper-right abdomen that is not relieved by changing
positions or by taking over-the-counter medications. Symptoms
typically occur several hours after eating and may last one to four
The American Academy of Family Physicians has more about
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